Provider Demographics
NPI:1912197419
Name:DR A JOSHI & ASSOCIATES OPTOMETRISTS PA
Entity Type:Organization
Organization Name:DR A JOSHI & ASSOCIATES OPTOMETRISTS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AKSHET
Authorized Official - Middle Name:
Authorized Official - Last Name:JOSHI
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:972-986-9778
Mailing Address - Street 1:4100 W AIRPORT FWY
Mailing Address - Street 2:STE 100
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75062-5913
Mailing Address - Country:US
Mailing Address - Phone:972-986-9778
Mailing Address - Fax:972-986-5938
Practice Address - Street 1:4100 W AIRPORT FWY
Practice Address - Street 2:STE 100
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062-5913
Practice Address - Country:US
Practice Address - Phone:972-986-9778
Practice Address - Fax:972-986-5938
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-31
Last Update Date:2007-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5963TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty